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SAN ) OAQU ' - " 'RC;FA p <br /> �� " �� '� ' vironmel I Health Department <br /> COUNTY-- SEP 11 5J ZU'll PUBLIC REwRDS RELEASE APPLICATION <br /> Greatness yrows here. ����� <br /> -- <br /> ENVIRONMENTAL HEALTH EHD LOG NUMBER. <br /> PERMIT/CER11(GES <br /> APPLICANT: MEGAN NOLET BUSINESS/AGENCY: AEI CONSULTANTS <br /> ADDRESS: 3880 S BASCOM AVE, STE 109 CITY/STATE/ZIP: SAN JOSE, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE(2): FAX OR E-MAIL: 408-559-7601 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Processed via email by Staff. Dom M DATE September 5,2017 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138, mail to the <br /> address indicated below, or email to info(a)sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any on eleasedwilt ized bv�HD staff at the expense of the applicant. f <br /> Future file reviews by the same applicant�maay require a$152 deposit{prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE A'AtLABLE FOR REVIEW:- MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT only, 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses address ranges will not be acce ted <br /> ® Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) E]CONSUMER <br /> � 440 INDUSTRIAL DR "' STOCKTON p <br /> ®Other Cleanup Site(Non-LOP) 1 <br /> ® Hazardous Waste ❑DAIRY <br /> ®Tiered Permitted Facility 2 3412 PERLMAN DR STOCKTON <br /> ®Aboveground Tank <br /> ®UST (Monitoring/Removal) G(� E]PWS <br /> ® Hazardous Materials s 2120 BOEING WAY STOCKTON <br /> ®Spill/Release Response <br /> Solid Waste Facility/Vehicle6t ®WATER QUALITY <br /> ® ry 4510 ALITALIA AVE STOCKTON <br /> Food Facility <br /> 0 Pool/Spa ®SITE MITIGATION <br /> Dairy (��jJ�� s 4440 ALITALIA AVE STOCKTON <br /> ®Land Use Application Sitcfi/ <br /> ®HOUSING <br /> ®Septic Pumper Truck/ s <br /> 4800 S AIRPORT WAY STOCKTON <br /> Yard/Chemical Toilets <br /> ®Wastewater Treatment Plant ®CUPA <br /> ®Housing Abatement 7 AST/HM/HW <br /> ® Motel/Hotel <br /> Chicken Ranch/Dog Kennel ®CUPA <br /> 8 - <br /> ®Medical Waste Facility UST <br /> Tattoo/Body Piercing ®SOLID WASTE <br /> ❑Waste Tire g <br /> ®Complaint <br /> F]Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 9/5/2017—EMAILED APP TO CONFIRM RECEIPT OF PRRA, INFORM THEM OF DELAY, AND THAT WE HAVE FILES. DOM M <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />